A Two-Stage Decoder for Efficient ICD Coding (2023.findings-acl)

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Challenge: Recent automated ICD coding efforts improve performance by encoding medical notes and codes with additional data and knowledge bases.
Approach: They propose a two-stage decoding mechanism to predict ICD codes using hierarchical properties of the codes to split the prediction into two steps: at first, predict the parent code and then predict the child code based on the previous prediction.
Outcome: Experiments on the public MIMIC-III data show that the proposed model performs well in single-model settings without external data or knowledge.

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Challenge: Medical coding is time-consuming and error-prone due to large label space, lengthy text inputs, and the absence of supporting evidence annotations.
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Challenge: Existing methods to assign ICD codes from unstructured clinical notes are noisy and prone to errors.
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Challenge: Diagnostic coding is the task of assigning diagnosis codes defined by the ICD (International Classification of Diseases) standard to patient visits based on clinical notes.
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